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Would you have run this Schiavo graphic?
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ldegroot

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Joined: 10 Mar 2004


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Posted:
Thu Mar 24, 2005 1:33 pm

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The Sun-Sentinel ran a graphic on March 24 that featured a CT scan of Terri Schiavo's brain. The Orlando Sentinel, our sister paper, worked on the graphic with us but chose not to run it. Three independent neurologists studied the scans and came to very similar conclusions. We used one of the doctors' comments to point out features that indicated the extent of her brain damage.

The graphic caused huge debate in both newsrooms. We will attempt to list the concerns as best we can.

PRO
Addressed physiological issues at the heart of the debate.
The graphic relies on three independent experts to make sense of a discussion steeped in rhetoric.
The images are the same ones cited in court opinions and expert testimony.


CON
The images date from 1996. (We know of no others in existence.)
Though clinical, some felt the CT scan was "ghoulish" and of questionable taste.
Some thought it did not pass the breakfast test.

Would you have run this Schiavo graphic? Why or why not?

If so, where would you have run it?

You can see it here:

http://www.sun-sentinel.com/news/local/southflorida/sfl-0324ctscan_graphic.graphic

Len De Groot
Assistant Graphics Director
South Florida Sun-Sentinel

Dave Wersinger
Graphics Editor
Orlando Sentinel
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jtelford

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Joined: 09 Mar 2004


Posts: 145

Posted:
Thu Mar 24, 2005 2:48 pm

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ldegroot wrote::
Would you have run this Schiavo graphic? Why or why not?


I would have run it without hesitation.

It's a normal CT scan and looks very much like an x-ray. It's very clinical. In fact, because of the angle of the scan (shooting from the top down as opposed to a profile view of the head) it makes it even more abstract in my mind and less "ghoulish" as a result.

It's not like you ran an incredibly realistic color rendering or disection of the woman's brain complete with pulsing red blood vessels.

If you've seen an x-ray (even on TV), and I'd venture to guess that's just about everyone, there's nothing here that should make someone lose their cookies.

I don't see the problem, apart from the fact that the CT images are nearly 10 years old. But this is something that was pointed out in countless wire stories and if those are the last images taken what else would you use?

From all I've read on the subject, most of the doctors said it's unlikely her condition has improved since these scans were made (a fact you point out in the chatter at the top of the graphic) so I'd say they're still very relevant.

I don't find this "ghoulish" at all, so I wouldn't have a problem running this anywhere in my paper.

Nice work, by the way.
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francie Williamson

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Posted:
Thu Mar 24, 2005 3:50 pm

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I totally would have run it. It's interesting and as someone who regularly has to turn the channel when someone is being pricked by a needle, I don't find it vomitous at all.
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Josh Bohling

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Posted:
Thu Mar 24, 2005 3:57 pm

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Quote:
PRO
Addressed physiological issues at the heart of the debate.
The graphic relies on three independent experts to make sense of a discussion steeped in rhetoric.
The images are the same ones cited in court opinions and expert testimony.


CON
The images date from 1996. (We know of no others in existence.)
Though clinical, some felt the CT scan was "ghoulish" and of questionable taste.
Some thought it did not pass the breakfast test.

Two of the three cons don't really hold water for me (this is not ghoulish and thus passes the nebulous "breakfast test"), and the strength of the pros, especially the chance to get past rhetoric to cold, hard facts (something graphics are wonderful for, after all) makes this an easy call.
The debate doesn't surprise me, given the subject matter, but I still think this is an easy call.
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David Wersinger

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Posted:
Thu Mar 24, 2005 5:01 pm

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I was surprised by how quick our top editors here at the Sentinel began to question the content of the graphic — before even seeing it or the brain scans — leading me to think that yes, perhaps they didn't want to inflame our readers. Central Florida is a conservative area.

And I understand this argument. However, the beauty of the graphic is that it gets beyond all the rhetoric and hyperbole on both sides and plainly shows readers the medical issue. The fact that we have Schiavo's actual CT scan makes this graphic a must-run.

We made our pitch as calmly and eloquently as we could, but in the end, we lost the argument.
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ldegroot

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Posted:
Thu Mar 24, 2005 5:42 pm

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We had a lot of heart-felt discussions too.

On Wednesday, the graphic was introduced at the 11 a.m. news meeting. The response was favorable, but editors were concerned that it was the opinion of a single doctor, and that we would try to present it as the "final word" on the issue. We addressed these issues with heavy attribution to Dr. Bradley in all areas of the graphic, and LaMendola sent the images to two other neurologists, both of whom agreed with with Bradley's assessment. To give our editors even more confidence, and because of the heavy attribution to Dr. Bradley, we also took the unusual step of having him proof the graphic to ensure that we had properly documented his comments.

The updated graphic was presented at the 4 p.m. meeting as a candidate for 1A. At this point we ran into two key issues:

1. Governor Bush came forth saying that a state neurologist had examined the same scans we were using, and had said additional tests should be done.
2. The story the graphic was to accompany was not yet done, and editors felt that they could not make a decision without seeing the text first.

Based on these issues, we decided to reconvene at 6 p.m. to consider the graphic and the story as a whole, and to see how daily developments would affect the story.

At the 6 p.m. meeting, editors were split as to whether the graphic should be on 1A. One group felt that the graphic illustrated much of the discussion on Schiavo's physiological state and deserved to be on the front page. Others felt that there was dissenting medical opinion (Bush's expert) that wasn't reflected in the graphic, and some felt that this could even lead to confusion among our readers. Some in this group felt it might be best to hold the graphic a day. Still others felt that it simply didn't pass the breakfast test.

We had a healthy and lively debate, and in the end it was decided that the graphic by all means deserved to be in the newspaper, but would not appear on the front page. Both the graphic and the story ran on 14A, a full page we set aside for expanded coverage of the issue.

The graphic actually changed little during this process. The key issues that were addressed including making sure it was very clear that we were simply presenting an independent doctor's analysis, and making sure that we stuck to the science. Any conclusions that might be made were left to the reader.

Dave and Orlando's AME/Visuals Bonita Burton posted descriptions of discussions at the Sentinel here:

http://www.newsdesigner.com/blog/
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charles apple

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Posted:
Thu Mar 24, 2005 8:33 pm

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Heh. I see Daniel Niblock was involved in the graphics reporting.

Doesn't surprise me. That guy doesn't suck at all.

Good job, gang. I'd definitely have pushed to run it.
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douglas e. jessmer

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Posted:
Thu Mar 24, 2005 11:11 pm

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Ditto to Charles. I can't say anything that hasn't already been said.
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ldegroot

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Posted:
Thu Mar 24, 2005 11:11 pm

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Indeed. Dan produced the graphic as well.
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Josh Bohling

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Posted:
Thu Mar 24, 2005 11:28 pm

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Quote:
1. Governor Bush came forth saying that a state neurologist had examined the same scans we were using, and had said additional tests should be done.

Any thought to amending the graphic to include the assertions of Bush's neurologist? I doubt you would have enough info to go blow by blow in this fashion, but perhaps you at least address the thought that while this was reviewed by three specialist, here's what another had to say, yada, yada, yada?
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